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New Jersey rates for HCPCS Q5121

Injection, infliximab-axxq, biosimilar, (AVSOLA), 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.09 / $43.96 / $2,596.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.09 / $31.09 / $31.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.41 / $38.50 / $49.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.41 / $20.41 / $20.41
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.75 / $91.37 / $13,785.00
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.25 / $19.25 / $28.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.68 / $34.68 / $42.50